Insurance

Self-Pay and out-of-network pricing

For your convenience, Premium Healthcare offers a detailed Self-Pay and Out-of-Network price menu to help you plan your healthcare costs with confidence. 

Click the button to the right to view the full pricing menu.

Insurance and Billing Information

At Premium Healthcare, we are committed to delivering high-quality medical diagnostics and imaging services to the Miami, Florida community. We recognize that navigating health insurance and billing processes can be overwhelming — that’s why our team is here to guide you every step of the way and make the process as stress-free as possible.

 

This page provides essential information about our accepted insurance plans, billing procedures, and what you can expect when submitting claims. Whether you’re using private insurance, Medicare, or paying out-of-pocket, we aim to make your experience smooth and stress-free.

image of different images together a green umbrella encompassing a clipboard a doctor and nurse and money in a wallet with a sheild and heart icon under it as well.

Accepted Insurance Plans

At Premium Healthcare, we proudly accept a wide range of health insurance plans to better serve the Miami, Florida community. We work with major insurance providers to ensure our patients have access to high-quality medical care, diagnostic services, and imaging without unnecessary hassle. Whether you are covered by Medicare, Medicaid, or a private insurance plan, our goal is to make your healthcare experience smooth and stress-free. To see if your plan is accepted, please review our list of participating insurance providers or contact our office for personalized assistance. We are committed to helping Miami residents access affordable, reliable healthcare through accepted insurance coverage.

  • Aetna
  • AvMed
  • BCBS (all except Myblue)
  • Cigna
  • First Health plan
  • Golden Rule
  • Hawaiian mainland Administrators
  • Humana
  • Meritain
  • Multiplan
  • NHP
  • Oxford
  • PCHS
  • Tricare
  • UMR
  • United Health Care
  • US Health Freedom
  • Simply
  • AARP supplemental
  • BCBS supplemental
  • Humana Gold (HMO)
  • Bright Health
  • Florida Blue Select
  • Oscar

VERIFY YOUR INSURANCE COVERAGE

Before your scheduled appointment at Premium Healthcare, we highly recommend verifying your insurance coverage to avoid any unexpected out-of-pocket expenses. You can verify your coverage by contacting our friendly office staff or by reaching out directly to your health insurance provider. Taking a few moments to confirm your benefits can help you feel more prepared and informed.

UNDERSTANDING CO-PAYS & DEDUCTIBLES

Navigating co-pays and deductibles is essential for effectively managing your healthcare expenses. These out-of-pocket costs can differ based on your specific insurance plan, provider network, and type of service. At Premium Healthcare, our knowledgeable team is here to help you understand your financial responsibilities and answer any questions you may have about your medical billing and coverage.

SIMPLE Billing and Claims Process

At Premium Healthcare, we’ve streamlined the medical billing process to provide you with accurate, efficient, and timely claims handling. Our simplified process ensures a stress-free experience, due to the experienced team that manages the insurance claim filing on your behalf. After your claim is processed, you’ll receive an Explanation of Benefits (EOB) from your insurance provider, clearly outlining your coverage and any patient responsibilities.

Pre-Authorizations

Some medical procedures and diagnostic tests may require pre-authorization from your insurance provider before services can be performed. At Premium Healthcare, our knowledgeable staff is here to help you navigate this process. We’ll work directly with your insurance company to determine if pre-approval is necessary for your treatment and assist you every step of the way to avoid delays in care. Providing a stress free experience at Premium Healthcare.  

Financial Assistance and Payment Plans

At Premium Healthcare, we understand that not everyone has insurance or may be underinsured. To ensure accessible care for all, we offer flexible payment plans and financial assistance programs tailored to your needs. Our goal is to help you receive the medical care you deserve without financial stress. Whether you’re seeking diagnostic services, urgent care, or specialty treatments in Miami, our team is here to work with you on affordable healthcare solutions to provide our patients with a stress-free experience. 

Contact Us

Our dedicated billing and insurance department is here to assist you. If you have questions or need personalized support with insurance-related matters, please contact us at:

Legal and Compliance Information

This page is intended to provide general guidance and educational content regarding insurance, billing, and healthcare services at Premium Healthcare. It should not be interpreted as legal or medical advice. For accurate and personalized information about your insurance coverage, benefits, or billing questions, we recommend speaking directly with your insurance provider and contacting our billing department. Ensuring compliance and transparency is our priority as we support your healthcare journey.

Our Commitment to Miami, Florida

Your Insurance & Billing Resource at Premium Healthcare 

At Premium Healthcare, we are proud to serve the diverse and vibrant Miami, Florida community by delivering compassionate, reliable, and accessible diagnostic and imaging services. We are committed to helping every patient receive the care they need—clearly, confidently, and affordably.

This page is designed to be your trusted resource for understanding the insurance plans we accept, how our billing process works, and what to expect when it comes to co-pays, deductibles, and claims. Whether you have private insurance, Medicare, Medicaid, or are considering self-pay options, our goal is to make navigating your healthcare coverage as easy as possible.

 

Explore the sections below to learn more about accepted insurance providers, pre-authorizations, out-of-pocket costs, and available financial assistance. Our team is here to answer your questions and guide you through every step of your healthcare experience.

A doctor sitting with a female patient on a bed going over results. there is a machine to the left of them.

FAQ's

At P.E.T. C.T. and M.R.I. of Miami, our team is committed to making the insurance and billing process as clear and stress-free as possible. We believe in full transparency, ensuring you understand your coverage, costs, and next steps. If you have any questions or need additional information, please don’t hesitate to reach out to our dedicated billing department. Your health, comfort, and peace of mind remain our highest priorities.

Yes, we accept a wide range of insurance plans to ensure accessibility for our patients. Please provide us with your insurance details, and our billing department will verify your coverage.
Verifying your insurance coverage is a straightforward process. You can either contact our billing department, and they will assist you, or you can reach out to your insurance provider directly. We’re here to help and make the process as smooth as possible.
If your insurance plan is not listed, please contact our billing department. We can provide information on other payment options, financial assistance, or explore potential alternatives to help you receive the care you need.
The out-of-pocket expenses can vary based on your insurance plan and the specific procedure. Our billing department will work with you to provide an estimate of your potential costs. Please keep in mind that co-pays, deductibles, and any non-covered services may affect your expenses.
You’ll typically receive a billing statement after your insurance has processed your claim. This can take several weeks. The statement will outline the services rendered, the amount billed to your insurance, and any patient responsibility. If you have any questions about your statement, please contact our billing department.
Yes, we understand that not everyone has insurance or may be underinsured. We offer financial assistance programs and flexible payment plans to ensure access to quality care. Please reach out to our billing department to discuss these options.

New Patient Exclusive: FREE Vitamin B12 Injection!

Get a FREE Vitamin B12 Injection at any of our locations when you stay up to date with Premium Healthcare News.

This offer is available only for new patients on their first visit – while supplies last!

Enter your info now to claim your free B12 boost!